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Mandatory Reporting: Child & Dependent Adult Abuse (Ongoing)
Category   Education

Accessing the Course
Physicians requesting the Mandatory Reporting: Child and Dependent Adult Abuse course will access this education on HealthStream.

Call Cindy Ewy at 641-428-7100 to get the assignment and directions to access HealthStream. This program is required every 5 years for all mandatory reporters of child and/or dependent adult abuse.

This 2 hour program provides health care personnel who are mandatory reporters for dependent adult and/or child abuse with information on the following content areas: Iowa law, probable reasons, recognition, and reporting process.

According to the code of Iowa, any person who believes that a child or dependent adult has suffered abuse may report the suspected abuse to the Department of Human Services. But the nature of certain people’s jobs requires them by law to report suspected abuse. These are mandatory reporters.

This course fulfills the first requirement for mandatory reporters — obtaining two hours of training relating to the identification and reporting of child and/or dependent adult abuse within six months of initial employment or self-employment. Thereafter, you must complete at least two hours of additional child and/or dependent adult abuse training every five years.

The Regional Health Education Center (a partnership between NIACC and Mercy prior to July 1, 2010) received approval from the Iowa Department of Public Health Mandatory Abuse Reporting Review Committee in March 2002, 2005, and 2008. In April 2011, Mercy Medical Center - North Iowa received approval from the Iowa Department of Public Health Mandatory Abuse Reporting Review Committee through 2014 (#2702). This program meets the criteria established by the Iowa Department of Public Health.

Mandatory Reporting Of Child and Dependent Adult Abuse was originally released May 30, 1997. It has been reviewed annually from 1998 through 2012. In compliance with ACCME Policy, the termination date (after which the course is no longer certified for credit) must be stated. This date will be the same as the next scheduled review date, 2013 (or earlier if law changes should occur). At this time, the content will be reviewed, updated as necessary, and re-accredited.

Mandatory Reporters

  • Health practitioners
  • Staff of health facilities
  • Social workers
  • Psychologists
  • Mental health professionals
  • Staff of day care centers, supervised apartments, sheltered workshops, etc.
  • School employees
  • Peace officers
  • Outreach persons
  • Staff of substance abuse programs, juvenile shelters, and licensed foster care facilities
  • Employees of institutions operated by DHS
  • DHS income maintenance workers
  • Certified adoption investigators
  • Clergy (not mandatory reporter unless functioning as a social worker or counselor)


  • 0.2 CEUs for Registered Nurses and Licensed Practical Nurses·
  • 2.0 CEUs for Certified Medical Assistants·
  • 2.0 hours of CME for Physicians

Other healthcare personnel will receive a certificate reflecting 2.0 contact hours for successfully completing this course.

This activity has been planned and implemented in accordance with the Essentials Areas and Policies of the Iowa Medical Society (IMS). Mercy Medical Center - North Iowa is accredited by the IMS to provide continuing medical education for physicians.

Mercy Medical Center - North Iowa designates this enduring material for a maximum of 2AMA PRA Category 1 Credits™. Physicians should claim only credit commensurate with the extent of their participation in the activity.

Mercy Medical Center - North Iowa’s policy requires all individuals controlling a CME activity’s content (e.g., faculty and planning committee members) must disclose to the provider and learners all relevant financial relationships with any commercial interest. Information received from the planning members and speakers/author for this coursereflect no relevant financial relationships with any commercial interest, as well as no content that is investigational or unapproved by the FDA.

Mercy Medical Center - North Iowa is a Continuing Professional Education (CPE) Accredited Provider with the Commission on Dietetic Registration (CDR). Registered Dietitians (RDs) and Dietetic Technicians, Registered (DTRs) will receive 2 continuing professional education units (CPEUs) for completion of this program/material.

Mercy Medical Center - North Iowa is an Iowa Board of Nursing approved provider for continuing education for licensed nursing personnel and has been issued Provider No. 27.

This program has been granted prior approval by the American Association of Medical Assistants (AAMA) for 2 continuing education units. Granting approval in no way constitutes endorsement by the AAMA of neither the program content nor the program’s sponsor.

Note: Certified Medical Assistants (CMAs) who successfully complete this course may have their CEUs registered with the American Association of Medical Assistants (AAMA). Please complete one of the two attached documents (member or non-member) and return it with your test and evaluation form.


  • Identify the purposes of Iowa Code related to child and dependent adult abuse.
  • Explain the history of the recognition and legal recourse of child and dependent adult abuse.
  • State the incidence of child and dependent adult abuse.
  • Define the following terms: child, child abuse, dependent adult, dependent adult abuse, responsible caretaker, community based, facility, and program.
  • Discuss possible reasons child and dependent adult abuse occurs
  • List and define the classifications of child and dependent adult abuse in Iowa.
  • Describe how to recognize child and dependent adult abuse in the various classifications.
  • Describe why there may be a reluctance or failure to report child and dependent adult abuse.
  • Describe a typical dependent adult who is abused in Iowa.
  • List incidences which are not considered dependent adult abuse.
  • Describe reporters of child and dependent adult abuse.
  • State educational requirements for mandatory reporters.
  • Explain legal considerations of reporters.
  • Describe the steps of reporting suspected abuse.
  • Discuss the evaluation process conducted by the Department of Human Services.
  • Discuss the role, responsibilities, and purpose of the Department of Human Services, Department of Inspections and Appeals, Department of Aging, and the County Attorney.

Nondiscrimination Policy & Confidentiality
Continuing education programs offered by Mercy Medical Center - North Iowa support associates in their role as patient caregivers and, therefore, support the following statement:

“Because of our belief in the dignity and value of each person, Mercy Medical Center affirms that each patient will receive accessible, respectful, skillful, and compassionate care without discrimination as to race, color, creed, gender, beliefs, national origin, age, disability, diagnosis, or ability to pay.”

Mercy Medical Center - North Iowa is responsible to follow the Health Insurance Portability and Accountability Act (HIPAA) and the Family Education Rights and Privacy Act (FERPA) guidelines. These guidelines protect patient health information and student education records respectively. Any credentialing information regarding CME programs will be released to non-Mercy providers with a signed release form.

Author of the Course
Linda Webner, RN, Paramedic Specialist, BSHCA, MS

  • Education:
    • St. Luke’s School of Nursing, Cedar Rapids, Iowa: Registered nurse
    • St. Joseph’s College in Windham, Maine: Bachelor of Science Health Care Administration 
    • Drake University, Des Moines, Iowa; Master of Science Adult Education
  • Previous staff position in rural acute care hospital and as a school nurse.
  • Member of a local volunteer ambulance that provides pre-hospital care for ill and/or injured.
  • Instructs EMS initial courses (First Responder, EMT-B, EMT-I, EMT-P, and Nurse Challenge courses), various continuing education classes for healthcare professionals, ACLS, PEPP, AMLS, BLS, and first aid classes to community and business groups.
  • Responsible for coordinating, teaching, and testing emergency medical services courses and continuing education programs for First Responder, Emergency Medical Technicians — Basic, Emergency Medical Technicians — Intermediate, and Emergency Medical Technicians — Paramedic, and nurses, as well as Nurse Aide Courses.

Last update: 9/3/12 Entire site Copyright ©2012 Mercy Medical Center - North Iowa. All rights reserved. If you have questions regarding this site, please contact Cindy Ewy, Clinical Practice, Informatics and Education Department, 641-428-7100,

Maximum Attendees   Unlimited
Cost/Fee   $50.00
Department   641-428-7100
Contact Information   Cindy Ewy
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